Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OFFICE OF MAKATI CITY
BANGKAL HIGH SCHOOL

CONSENT FORM

Name of Student:

Grade & Section:

Name of Parent/Guardian:

I hereby give my consent to Bangkal High School and its designated teachers of my
child/ward to:

1. Conduct online interaction through whatever social media platform with

my child/ward for any distance learning activities;

2. To keep a record of online interaction with my child/ward, whenever

recording is made;

3. To take snapshots/images/videos which may include my child’s/ward’s

image for documentation and other lawful purposes;

4. To post in the official school social media page/web page/private social

media group; the image, name, and section of my child/ward, as well as
any Acknowledgement/ awards that he/she is entitled;

5. Other similar processing of information of my child/ward for any

activities sanctioned by DepEd.

___________________________________________________ ____________________
Signature over Printed name of the Parent/Guardian Date

___________________________________________________ ___________________
Registered Address Contact Number

Important Reminder:

Please attached a photocopy and/or a screenshot of a valid Identification Card with

signature of the parent/guardian.

_____________________________________________________________________________________
Address : Gen. Malvar cor. Apolinario Sts. Brgy. Bangkal Makati City
Telephone Number : 8844-09-97
Electronic Address : bangkal_hs@yahoo.com / 320002@deped.gov.ph